Active NPI
Anna Elizabeth Letitia, LMHC
- Mental Health Counselor
- Worcester, MA
National Provider Identifier
1114144797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MHC00325
- Practice address
- 26 Queen St
5TH Floor
Worcester, MA 01610-2473 - Phone
- (508) 373-7931
- NPI assigned
- Apr 18, 2007
- Last updated
- Apr 8, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MHC00325 | RI | Primary |
Addresses
Primary practice location
26 Queen St
5TH Floor
Worcester, MA 01610-2473
Mailing address
26 Queen St
5TH Floor
Worcester, MA 01610-2473
Phone (508) 373-7931
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104847946 | Other | RI | THE PROVIDENCE CENTER NPI |
| 414097 | Other | RI | BLUE CHIP |
| 32504-8 | Other | RI | BLUE CROSS |
| AC66378 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MHC00325 | RI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396915200000",
"number": "1114144797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 QUEEN ST",
"address_2": "5TH FLOOR",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016102473",
"telephone_number": "508-373-7931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 QUEEN ST",
"address_2": "5TH FLOOR",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016102473",
"telephone_number": "508-373-7931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LETITIA",
"first_name": "ANNA",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2014-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "RI",
"license": "MHC00325",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE PROVIDENCE CENTER NPI",
"identifier": "1104847946",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "414097",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "32504-8",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AC66378",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.